Greek scientists suggest that drinking their native coffee boiled could result in better cardiovascular health and help explain the long lives enjoyed by residents on the island of Ikaria.

In general, coffee -- one of the most consumed beverages worldwide -- is considered to be good for the heart since this beverage contains high levels of protective antioxidants and polyphenols. However, what makes Greek coffee superior to your average cup of Joe is its concentration and preparation, both of which deliver more protective compounds in each little cup.

Greek coffee is boiled rather than brewed. This boiling method was developed in Yemen during antiquity, long before filtration of coffee was introduced. Boiling coffee is also carried out in Turkey and throughout the Middle East. This method also creates a foam the Greeks call kaimaki (pronounced kaee-MAH-kee), which adds a rich, creaminess to the coffee. The process of boiling coffee extracts much more nutrients from the coffee beans than the filtering method.

Additionally, Greek coffee is comprised of Arabica coffee beans, which are ground down to a very fine powder, thus delivering more concentrated antioxidants per ounce than in a cup of regular coffee. The combination of boiling a fine grind gives Greek coffee a powerful, one-two health punch. Plus, you get less caffeine than in an American cup of coffee, so ounce for ounce it’s a healthier choice.

Rich in chlorogenic acid, polyphenols, lipid-soluble substances and other heart-healthy compounds, Greek coffee has been shown to help protect the arteries, as well as lower your risk for diabetes and boost overall immune health.

Writing in the April issue of peer-reviewed journal Vascular Medicine, Gerasimos Siasos and colleagues at the University of Athens Medical School, set out to discover whether drinking the coffee affected the health of elderly residents on the island.

Elderly inhabitants of Ikaria boast the highest rates of longevity in the world, since 1% of the island's isolated, rurally based residents live to be over 90, whereas only 0.1% of Europeans reach this age.

Given that coffee drinking was so widespread worldwide, even small health effects for one type of coffee could impact public health, the researchers write, while stressing the need for more research to document the "exact beneficial mechanisms of coffee in vascular integrity".

Antioxidant-Rich Greek Coffee

Siasos et al. pay particular attention to links between coffee drinking and endothelial function: the endothelium is a cell layer that lines blood vessels that is affected by aging and habits like smoking.

The scientists focus on coffee due to recent studies suggesting that moderate coffee consumption may slightly cut the risk of coronary heart disease, and positively impact endothelial health.

"The boiled Greek type of coffee, which is rich in polyphenols and antioxidants and contains only a moderate amount of caffeine, seems to gather benefits compared to other coffee beverages," Siasos et al. write.

87%+ of the participants drank boiled Greek coffee daily, and the scientists found that those who drank mainly boiled Greek coffee had a better endothelial function that those drinking other types of coffee.

40% of subjects had a low (<200ml/day) 48% a moderate (200-450ml/day) and 13% a high (>450ml/day) coffee consumption, with an increase in average flow-mediated dilation (or FMD, an evaluation of endothelial function measured by ultrasound) across the consumption levels.

FMD is usually measured in the brachial artery and endothelial function reflects the 'health' of the vessel wall, and is affected by various lifestyle habit (smoking, for instance) and aging.

Siasos et al. evaluated endothelial function in this artery by estimating FMD in this artery, and recording the percentage change in vessel diameter compared to a resting state (baseline brachial artery diameter).

Vascular Health Connection

Even in subjects with high blood pressure, drinking boiled Greek coffee was associated with improved endothelial function.

"Chronic coffee consumption is associated with improved endothelial function in elderly subjects, providing a new connection between nutrition and vascular health," the authors conclude.

"This evidence provides a further explanation about how chronic coffee consumption can favorably affect cardiovascular risk, providing a new connection between nutritional habits and cardiovascular health."

Sources: Vascular Medicine
Mae Chan holds degrees in both physiology and nutritional sciences. She is also blogger and and technology enthusiast with a passion for disseminating information about health.